RESUMO
BACKGROUND: Irrational antimicrobial consumption (AMC) became one of the main global health problems in recent decades. OBJECTIVE: In order to understand AMC in Latin-American Region, we performed the present research in 6 countries. METHODS: Antimicrobial consumption (J01, A07A, P01AB groups) was registered in Argentina, Chile, Colombia, Costa Rica, Paraguay, and Peru. Source of information, AMC type, DDD (Defined Daily Doses), DID (DDD/1000 inhabitants/day), population were variables explored. Data was analyzed using the Global Antimicrobial Resistance and Use Surveillance System (GLASS) tool. RESULTS: Source of information included data from global, public, and private sectors. Total AMC was highly variable (range 1.91-36.26 DID). Penicillin was the most consumed group in all countries except in Paraguay, while macrolides and lincosamides were ranked second. In terms of type of AMC according to the WHO-AWaRe classification, it was found that for certain groups like "Reserve," there are similarities among all countries. CONCLUSION AND RELEVANCE: This paper shows the progress that 6 Latin-American countries made toward AMC surveillance. The study provides a standardized approach for building a national surveillance system for AMC data analysis. These steps will contribute to the inclusion of Latin-America among the regions of the world that have periodic, regular, and quality data of AMC.
Assuntos
Antibacterianos , Antibacterianos/uso terapêutico , Argentina , Chile , Colômbia , Humanos , América Latina/epidemiologiaRESUMO
El presente estudio evaluó el impacto redistributivo del Programa Remediar sobre el gasto en medicamentos en Argentina. A partir del análisis de los resultados obtenidos, se verificó que lastransferencias del programa generan una mejora en el índice de concentración entre los quintiles demenores ingresos. Remediar, junto con otros programas redistributivos, han promovido el bienestar general de la población durante la última década.
